142 episodes

Emergency Medicine podcasts based on evidence based medicine focussed on practice in and around the resus room.

The Resus Room Simon Laing, Rob Fenwick & James Yates

    • Medicine
    • 4.9, 67 Ratings

Emergency Medicine podcasts based on evidence based medicine focussed on practice in and around the resus room.

    June 2020; papers of the month

    June 2020; papers of the month

    Welcome back to June’s Papers Podcast!
    Traditionally when you’re taught about working a patient up for a potential diagnosis you’ll find a list of signs, symptoms and tests that you need to perform in order to obtain your diagnosis. What that teaching doesn’t tell you is how important each of those aspects is and this month we take a deeper look at this for pneumonia. We look two papers, one focussing on the clinical findings both in signs and symptoms and then a further paper on the importance of biomarker in the diagnosis.
    We also have a look at a paper which focusses on decreasing time on scene for prehospital patients and the potential benefit of regular time prompts, an idea that may be applicable irrespective of your place and role of work.
    We’d love to hear any thought or comments you have either on the website or via twitter @TheResusRoom.
    Enjoy!
    Simon & Rob

    • 26 min
    Transfer; Roadside to Resus

    Transfer; Roadside to Resus

    Transfers of patients happen all the time. It's easy to think about transfers as only those that involve an ambulance and moving patients from one hospital to the next, but in reality it's far more extensive than that. We all move patients all the time, whether that be the unwell patient in the upstairs of their house to the ambulance, the patient in the Emergency Department to the CT scanner or another ward, or the more traditional interhosptal transfer.
    Transfers of patients are inherently high risk times for the patient and having some background knowledge on transfers and a structured approach helps us ensure the best possible care for our patients. In this episode we run through transfers with the help of an expert on the topic, Scott Grier a Consultant in Intensive Care Medicine and Anaesthesia at Southmead Hospital in Bristol, the South West Critical Care Network Lead for Transfer, and a PreHospital Critical Care Doctor with GWAAC.
    Enjoy!
    Simon, Rob and James

    • 1 hr 5 min
    May 2020; papers of the month

    May 2020; papers of the month

    Welcome to May's papers of the month podcast. Hope you are all well and keeping safe.
    This month James joins Simon to discuss some of the great work published following the London Trauma Conference, all available in the hyperlinks on the website.
    First up we have a look at the incidence of prehospital hypotension and hypoxia in patients with suspected traumatic brain injury and the ways in which we might look to mitigate against these complications. Next we have a think about end-tidal CO2 levels and the correlation between these and arterial CO2 readings and discuss what the findings might mean for our practice. Finally we have a look at the incidence of hyperoxia in patients receiving a prehospital emergency anaesthetic in the context of trauma, and consider the effect this might have on our patients and again practice.
    We'd love to hear any thought or comments you have either on the website or via twitter @TheResusRoom.
    Enjoy!
    Simon & James

    • 23 min
    Pelvic Injury; Roadside to Resus

    Pelvic Injury; Roadside to Resus

    Fractures of the pelvis are found reasonably often in major trauma, but they’re a really challenging presentation. They are difficult to assess and accurately diagnose in the prehospital setting, mortality rates are high, particularly in patients with haemodynamic instability and there are often associated injuries. Associated mortality from patients with pelvic fractures who reach hospital is reported to be up to 19%, with mortality rates as high as 37% reported in the presence of haemodynamic instability.
    In this episode we'll run through pelvic injuries, all the way from anatomy and mechanisms of injury, to assessment and management.
    As always make sure you have a look at the references and supporting material attached in the show notes, and get in touch with any questions or comments and take care of yourselves.
    Enjoy!
    Simon, Rob and James

    • 57 min
    Respiratory Strategies in COVID-19

    Respiratory Strategies in COVID-19

    So COVID-19 has produced a multitude of challenges to healthcare providers, the response to these challenges has been phenomenal.
    One uncertainty is the strategy we should employ for hypoxic respiratory failure and several high quality guidelines have presented conflicting advice for the severely hypoxic patient.
    The Warwick Clinical Trials Unit has already begun recruiting patients to their RECOVERY-RS trial, which is open for hospitals in the UK to sign up for. This looks at 3 different strategies of respiratory support for patients admitted with suspected or known COVID-19 and hypoxia; namely CPAP, High-flow nasal oxygen and standard care. The trial is funded by the NIHR and supported by the Intensive Care Society.
    In this episode we get a chance to speak to Bronwen Connolly, one of the investigators of the RECOVERY-RS trial; we discuss the background evidence, the trial design, and when results will be available.
    As always we’d love to hear any thoughts or comments you have on the website and via twitter, and make sure you take a look at the protocol yourself.
    Enjoy!
    Simon, Rob & James

    • 17 min
    April 2020; papers of the month

    April 2020; papers of the month

    First we hope you're all well. The world has changed dramatically over the the last few weeks and you are all doing a phenomenal job of providing healthcare under extremely challenging circumstances.
    We are determined to add a bit of normality to life with a non-COVID-19 papers of the month, full of bad jokes and some EBM. This month we're looking at intubation of acute alcohol intoxication in ED. We take a look at a paper that tries to quantify the risk of patients developing an intracerebral injury when taking antiplatelets and anticoagulants. Finally we have a look at the value of clinical examination and imaging findings in patients with elevated intracranial pressure, how valuable are individual findings?
    Most importantly take care of yourselves and loved ones and keep fighting the good fight!
    Simon & Rob

    • 32 min

Customer Reviews

4.9 out of 5
67 Ratings

67 Ratings

Fedgash ,

The best

Excellent guys well done,, keep up

Jodesxoxo ,

Love this

Love this! Not a Dr but a clinical coder and find the info extremely helpful!

BlackJack313 ,

Favourite medical podcast

These guys are awesome! I’ve listened to most of their podcasts this year in preparation for fellowship, and it has been a fantastic way to reinforce particular concepts and topics in an engaging and entertaining way. The papers of the month are brilliant too and I’ve found it SO much easier to remember some of the landmark papers after listening to their critical appraisals!

Top Podcasts In Medicine

Listeners Also Subscribed To